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Your details

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We've made the quote process easy by making some assumptions about you and your holiday home. We suggest you read them now and you'll be asked to agree to them later in the quotation process.

All questions are mandatory unless marked as optional. For help completing the form select the help icon beside the question for more information.

Title

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First name

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Surname

*

Email Address

*

Contact telephone number

*

Date of birth

*

Occupation

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Business

*

Is there a joint policyholder to add to this policy?

*

Yes No

Title

*

First name

*

Surname

*

Date of birth

*

Occupation

*

Business

*

How many years of No Claims Discount do you have (inc. your main residence)?

*

How many claims have you made in the last 5 years?

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Date of claim 1

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Type of claim 1

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Amount of claim 1

*

Is the claim settled?

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Yes No

Date of claim 2

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Type of claim 2

*

Amount of claim 2

*

Is the claim settled?

*

Yes No

If you have a discount code, please type it in the box (Optional)

*

In arranging your insurance both we and the Insurers will ask a number of questions which you are required to answer. Please take reasonable care to answer all the questions accurately, to the best of your knowledge and provide full answers and relevant details. If you do not answer the questions accurately or to the best of your knowledge then your policy may be cancelled or your claim rejected or not fully paid.
Where help text is provided in relation to a question please ensure that you read this fully to ensure the correct answer is provided.

By providing the requested data you consent to The AA Group of companies using it for administration and keeping you informed by mail, telephone, email and SMS of other products and services from us and our partners. For full details please see the AA privacy policy.

Need help?

Need help? Select the help icon beside each question for more information.